Physician assistants (PAs) practice medicine under the control of medical students and surgeons. They should non be confused with medical exam assistants, who perform routine clinical and clerical tasks. (Medical assistants are discussed elsewhere in the Handbook.) PAs are officially trained to provide diagnostic, therapeutic, and preventive health upkeep services, as delegated by a physician. Working as members of a healthcare team, they throng medical histories, examine and treat patients, order and interpret science lab tests and x rays, and make diagnoses. They also treat minor injuries by suturing, splinting, and casting. PAs record progress notes, instruct and counsel patients, and order or carry out therapy. Physician assistants also may ordain certain medications. In some establishments, a PA is obligated for managerial duties, such as ordering medical supplies or equipment and supervising medical technicians and assistants.
Physician assistants give way under the supervision of a physician. However, PAs may be the principal care providers in rural or inner-city clinics where a physician is present for only(prenominal) 1 or 2 days each week. In such cases, the PA confers with the supervising physician and other medical professionals as needed and as required by law.
PAs also may make house calls or go to hospitals and nurse care facilities to check on patients, after which they report foul to the physician.
The duties of physician assistants are determined by the supervising physician and by State law. Aspiring PAs should investigate the laws and regulations in the States in which they wish to practice.
Many PAs work in primary care specialties, such as general internal medicine, pediatrics, and family medicine. Other distinctiveness areas include general and thoracic military operation, emergency medicine, orthopedics, and geriatrics. PAs specializing in surgery provide preoperative and postoperative care and may work as first or second assistants during major surgery.
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